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Organization

CENTER FOR LEARNING AND GROWTH HEALTH AND WELLNESS SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS BRIGNOLO LMHC (COUNSELOR)
(718) 551-1868
Entity
Organization

Contact information

Practice address
14101 68TH DR FL 1, FLUSHING, NY 11367-1635
(718) 551-1868
Mailing address
14101 68TH DR FL 1, FLUSHING, NY 11367-1635
(718) 551-1868

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008172
NY
225700000X
Massage Therapist
027228
NY

Other

Enumeration date
03/06/2018
Last updated
03/06/2018
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